Sooner Internal Medicine, LLC

NPI #1154354835 in Joplin, Missouri

Provider Information

NPI Number: 1154354835
Entity Type: Organization
Organization Name: Sooner Internal Medicine, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jul 8, 2006
Last Updated: Nov 17, 2009

Practice Location

Address: 1002 MC INTOSH CIR
Address 2: SUITE 1
City: Joplin
State: Missouri
ZIP Code: 64804-3642
Phone: (417) 781-0224

Authorized Official

Name: DR. RANDY EUGENE BOWLES, M.D.
Title: OWNER
Phone: (417) 781-0224

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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